Organization Active NPI

Frederick Quarles

  • Specialist
  • Virginia Beach, VA
National Provider Identifier
1922016278
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101239928 Issued in VA
Legal business name
FREDERICK QUARLES
Practice address
4164 Virginia Beach Blvd
Suite 101
Virginia Beach, VA 23452-1762
Phone
(757) 490-6637
Fax
(757) 490-6636
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frederick Quarles, M.D.NPI 1508834532
Title
Medical Doctor
Phone
(757) 490-6637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101239928 VA Primary

Addresses

Primary practice location

4164 Virginia Beach Blvd
Suite 101
Virginia Beach, VA 23452-1762

Mailing address

4164 Virginia Beach Blvd
Suite 101
Virginia Beach, VA 23452-1762
Phone (757) 490-6637

Other identifiers 1

IdentifierTypeStateIssuer
1508834532OtherVADR FEDERICK QUARLES/NPI

National Provider Directory

National Provider Directory

Locations

4164 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23452
Phone (757) 490-6635

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1922016278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 VIRGINIA BEACH BLVD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521762",
            "telephone_number": "757-490-6637",
            "fax_number": "757-490-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 VIRGINIA BEACH BLVD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521762",
            "telephone_number": "757-490-6637",
            "fax_number": "757-490-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK QUARLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "QUARLES",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "757-490-6637",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101239928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR FEDERICK QUARLES/NPI",
            "identifier": "1508834532",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.